| NPI | 1912639550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI 03759) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: RI 63755) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2023-09-12 |